单选题A client is experiencing an early postpartum hemorrhage. Which action
is inappropriate?
A. Inserting an indwelIing urinary catheter.
B. Fundal massage.
C. Administration of oxytoxics.
D. Pad count.
单选题A client complains of a severe, throbbing headache following a lumbar puncture. The priority nursing intervention for this client is to A. restrict fluid intake. B. increase fluid intake. C. raise the head of the bed. D. assess vital signs.
单选题The nurse is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Set up a strict eating plan for the client. B. Encourage the client to exercise, which will reduce her anxiety. C. Restrict visits with the family until the client begins to eat. D. Provide privacy during meals.
单选题A 54-year-old female was found unconscious on the floor of her bathroom with self- inflicted wrist lacerations. An ambulance was called and the client was taken to the emergency department. When she was stable, the client was transferred to the inpatient psychiatric unit for observation and treatment with antidepressants. Now that the client is feeling better, which nursing intervention is most appropriate（）
单选题When caring for a client during the second stage of labor, which action would be least appropriate? A. Assisting the client with pushing. B. Ensuring the client's legs are positioned appropriately. C. Allowing the client clear liquids. D. Monitoring the fetal heart rate.
单选题A client is admitted to the emergency department with complaints of chest pain and shortness of breath. The nurse's assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distention, it's typically due to A. a neck tumor. B. an electrolyte imbalance. C. dehydration. D. fluid overload.
单选题Which client has the highest risk of ovarian cancer（）
单选题Which toy would be most appropriate for a 3-year-old?
A. A bicycle.
B. A puzzle with large pieces.
C. A pull toy.
D. A computer game.
单选题When bandaging the burned client's hand, the nurse should pay more attention about which of the following? A. The bandage is free of elastic. B. The bandage material is moistened with sterile normal saline solution. C. The hand and finger surfaces do not touch. D. The hand and fingers are not elevated above heart level.
单选题The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse should include information about which major complication ？（）
单选题The nurse administers racemic epinephrine to a child. Ten minutes after administration, the nurse should be alert for A. respiratory distress. B. profound tachycardia. C. signs of improved oxygenation. D. diminished cyanosis.
单选题From an analysis of the data collected about the client who has had a gastric resection, the nurse formulates the nursing diagnosis Risk for ineffective airway clearance. Based on which of the following postoperative factors would the nurse make this diagnosis? A. Incisional pain. B. Nausea. C. Progressive ambulation. D. Maintenance of a semi-Fowler's position.
单选题A woman seeking help at a community mental health center complains of fatigue, sensitivity to criticism, decreased libido, and feeling self-conscious. She also has aches and pains. A nursing diagnosis for this client might include A. Delayed growth and development. B. Ineffective role performance. C. Posttrauma syndrome. D. Chronic low self-esteem.
单选题An 8-month-old boy is admitted to the pediatric unit following a fall from his high chair. The child is awake, alert, and crying. The nurse should know that a brain injury is more severe in children because of（）
单选题As part of the annual health screening, the nurse visits the
eighth-grade physical education classes and asks each student to bend forward at
the waist with the back parallel to the floor and the hands together at midline.
For which of the following is the nurse assessing?
A. Slipped epiphysis.
B. Developmental dysplasia of hip.
C. Idiopathic scoliosis.
D. Physical dexterity.
单选题A 22-year-old client is diagnosed with dependent personality disorder. Which behavior is most likely evidence of ineffective individual coping? A. Inability to make choices and decisions without advice. B. Showing interest only in solitary activities. C. Avoiding developing relationships. D. Recurrent self-destructive behavior with history of depression.
单选题The nurse is teaching the mother of an infant with tetralogy of Fallot. The mother asks what to do when her infant becomes very blue and has trouble breathing after crying. The nurse should tell the mother,
单选题A client with fecal impaction typically exhibits which clinical manifestation? A. Liquid or semiliquid stools. B. Hard, brown, formed stools. C. Loss of urge to defecate. D. Increased appetite.
单选题The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus? A. One fingerbreadth above the umbilicus. B. One fingerbreadth below the umbilicus. C. At the level of the umbilicus. D. Below the symphysis pubis.
单选题When prioritizing a client's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be A. allowing the family to see a newly admitted client. B. ambulating the client in the hallway. C. administering pain medication. D. placing wrist restraints on the client.